Does removal of aids/devices and help make a difference in the Childhood Health Assessment Questionnaire disability index?

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Does removal of aids/devices and help make a difference in the Childhood Health Assessment Questionnaire disability index?

Saad-Magalhaes, C. (author)

Pistorio, A. (author)

Ravelli, A. (author)

Filocamo, G. (author)

Viola, S. (author)

Brik, R. (author)

Mihaylova, D. (author)

Cate, R. T. (author)

Andersson-Gäre, Boel (author): Jönköping University,HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete,The Jönköping Academy for Improvement of Health and Welfare

Ferriani, V. (author)

Minden, K. (author)

Hashkes, P. (author)

Rygg, M. (author)

Sauvain, M. J. (author)

Venning, H. (author)

Martini, A. (author)

Ruperto, N. (author)

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Jönköping University HHJ Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete (creator_code:org_t)

2009-02-16
2010
English.
In: Annals of the Rheumatic Diseases. - : BMJ Publishing Group Ltd. - 0003-4967 .- 1468-2060. ; 69:1, s. 82-87

Related links:: http://www.ncbi.nlm....; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

OBJECTIVE: To assess whether the removal of aids/devices and/or help from another person in the Childhood Health Assessment Questionnaire (C-HAQ) leads to a significant change in the disability index (DI) score and responsiveness in juvenile idiopathic arthritis (JIA).METHODS: Changes in the C-HAQ DI score in a cross-sectional sample of 2663 children with JIA and in 530 active patients with JIA in a trial of methotrexate (MTX) were compared.RESULTS: Patients in the MTX trial had higher disease activity and disability than the cross-sectional sample. The frequency of aids/devices (range 1.2-10.2%) was similar between the two samples, while help (range 5.3-38.1%) was more frequently used in the MTX group. Correlation between disease severity variables and the two different C-HAQ DI scoring methods did not change substantially. There was a decrease in the C-HAQ DI score for both the cross-sectional (mean score from 0.64 with the original method to 0.54 without aids/devices and help, p<0.0001) and the MTX sample (mean score from 1.23 to 1.07, p<0.0001). A linear regression analysis of the original C-HAQ DI score versus the score without aids/devices and help demonstrated the substantial overlap of the different scoring methods. Responsiveness in the responders to MTX treatment did not change with the different C-HAQ DI scoring methods (range 0.86-0.82).CONCLUSION: The removal of aids/devices and help from the C-HAQ does not alter the interpretation of disability at a group level. The simplified C-HAQ is a more feasible and valid alternative for the evaluation of disability in patients with JIA.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Keyword

Activities of Daily Living
Antirheumatic Agents/therapeutic use
Arthritis
Juvenile Rheumatoid/drug
therapy/physiopathology/*rehabilitation
Child
Child
Preschool
Cross-Sectional Studies
*Disability Evaluation
Female
Humans
Male
Methotrexate/therapeutic use
Reproducibility of Results
*Self-Help Devices
Severity of Illness Index
Treatment Outcome

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Saad-Magalhaes, ...; Pistorio, A.; Ravelli, A.; Filocamo, G.; Viola, S.; Brik, R.; show more...; Mihaylova, D.; Cate, R. T.; Andersson-Gäre, ...; Ferriani, V.; Minden, K.; Hashkes, P.; Rygg, M.; Sauvain, M. J.; Venning, H.; Martini, A.; Ruperto, N.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences

Articles in the publication: Annals of the Rh ...

By the university: Jönköping University

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